Individual
DR. TIMOTHY EVERETT HULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8510
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8510
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD170436
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
921820206
—
MO
Enumeration date
07/14/2006
Last updated
01/02/2015
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